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Date Published: 28/06/2023
Abstract Views: 62
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DOI: https://doi.org/10.56535/jmpm.v48i5.362
Issue
Vol. 48 No. 5 (2023): JOURNAL OF MILITARY PHARMACO-MEDICINE 5-2023
Section
Articles
How to Cite
Trần, Đ. V., Đồng, V. H., Vũ, V. H., & Nguyễn, T. B. (2023). SHORT-TERM SURGICAL OUTCOMES IN PATIENTS WITH DRUG-RESISTANT EPILEPSY DUE TO LESIONAL TEMPORA. Journal of Military Pharmaco-medicine, 48(5), 137-145. https://doi.org/10.56535/jmpm.v48i5.362

SHORT-TERM SURGICAL OUTCOMES IN PATIENTS WITH DRUG-RESISTANT EPILEPSY DUE TO LESIONAL TEMPORA

Tran Dinh Van1,2, Dong Van He2, Vu Van Hoe1, Nguyen Thanh Bac1,
1 Department of Neurosurgery, Vietnam Military Medical University
2 Neurosurgery Center, VietDuc University Hospital

Main Article Content

Abstract

Objectives: To describe the outcome of 35 cases of drug-resistant epilepsy due to the lesional temporal lobe surgery at Vietduc University Hospital from May 2018 to September 2022. Methods: A prospective description combined with retrospective, longitudinal follow-up of all patients diagnosed with drug resistance due to lesional temporal lobe epilepsy undergoing surgery at Vietduc University Hospital was conducted. Results: 35 cases of intractable lesional temporal lobe epilepsy surgery, male/female 1.5/1, partial seizures with loss of consciousness accounted for 99%, and 2/3 of cases occurred without aura. Seizure-free (post-operation 1 month) (Engel I) accounted for 74.3%, and the remaining (25.7%) had improved seizures (Engel 2, 3). Complications after surgery accounted for 17.1%, and there were no cases of death. Conclusion: Surgical treatment for drug resistance due to lesional temporal lobe epilepsy is safe and very effective, with a low complication rate.

Article Details

Keywords

Selective amygdalohippocampectomy, Lesionectomy, Low-income, Temporal mesial sclerosis, Vietduc University Hospital, Temporal lobe epilepsy

References

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